Patient Data

Exhibits

Nurse analyzes the findings.

Which can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.

Document the roaring and crackles

Wet the chest hair before auscultating

Keep the examination room warm, and warm the stethoscope

Reach under a gown to listen and take care that no clothing rubs on the stethoscope

Ensure the room is as quiet as possible

Answer and Explanation

Correct Answer : B,C,D,E

A.   Documenting the roaring and crackles is important to note any abnormal findings. However, this does not directly mitigate artifacts, which may interfere with the accuracy of the sounds heard through auscultation.
B.   Wetting the chest hair is a useful technique to reduce the sound interference caused by chest hair rubbing against the stethoscope. This helps eliminate some of the unwanted sounds and improves the clarity of auscultation.
C.   Ensuring the room is warm and the stethoscope is warmed before use is important because cold stethoscopes can cause discomfort to the client and may lead to muscle tensing, making it harder to hear clear heart and lung sounds.
D.   Reaching under the gown ensures that no clothing creates friction on the stethoscope, which can produce unwanted sounds during auscultation. This helps in obtaining clear and accurate heart or lung sounds.
E.   A quiet environment is crucial for auscultation, as background noise can obscure important sounds. Ensuring that the room is free from distractions and noise will significantly improve the quality of auscultation.

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Correct Answer is C

Explanation

A. Nicotine’s impact on REM sleep is not as direct as this option suggests. REM sleep can be reduced, but
it is not directly linked to a decreased need for REM sleep.
B. This option may be true for some individuals, but smoking typically causes disruptions throughout the night, not just in the second half.
C. Smoking has been shown to increase sleep latency (the time it takes to fall asleep) and reduce total sleep time due to nicotine’s stimulant effect and withdrawal symptoms during sleep.
D. Difficulty falling asleep and light sleep with frequent arousals are common effects of smoking due to
nicotine’s stimulant properties and withdrawal during the night.

A. Manipulate the testicles upon rising. B. Inspect the testicles using a mirror. C. Examine the testicles during bathing. D. Compare both testicles concurrently.

Correct Answer is C

Explanation

A. Manipulating the testicles upon rising is not a recommended time for TSE and could lead to unnecessary manipulation that doesn't focus on examination.
B. Inspecting the testicles using a mirror is not as effective as feeling for lumps and abnormalities through touch.
C. It is ideal to perform testicular self-examination during bathing, as the warm water relaxes the scrotal skin and makes it easier to detect any lumps or changes in texture.
D. Comparing both testicles concurrently is important, but the technique is not as effective when done without the warmth of a bath or shower.

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Patient Data Exhibits Nurse analyzes the findings. Which can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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Patient Data

Exhibits

Nurse analyzes the findings.

Which can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.